Individual provider Active NPI

Eugene Lampson Bigelow Jr.

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1154996023
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13001 Issued in CO
Practice address
2224 E Pikes Peak Ave
Colorado Springs, CO 80909-5906
Phone
(719) 428-2003
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13001 CO Primary

Addresses

Primary practice location

2224 E Pikes Peak Ave
Colorado Springs, CO 80909-5906

Mailing address

2275 Gambrell LN
Colorado Springs, CO 80919-3846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13001COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Enterprises LLC CurrentSince Nov 6, 2022 Accepting new patients
Colorado Springs Pharmacy LLC CurrentSince Jun 15, 2021 Accepting new patients

Locations

2224 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 428-2003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1154996023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 GAMBRELL LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095906",
            "telephone_number": "719-428-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "EUGENE",
        "middle_name": "LAMPSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "13001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.